Individual
MR. ROGER C LAFAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
601 BROADWAY, SEATTLE, WA 98122-5330
(206) 386-2600
(206) 622-1644
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 226-4810
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10002191
WA
Other
Enumeration date
07/09/2006
Last updated
10/10/2011
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